Conditions: You are an NCO appointed as the combat lifesaver program coordinator.
The combat lifesaver correspondence course is going to be used for the unit training. Note. The combat lifesaver program coordinator will be the medical
NCO, if one
is assigned.

Standards: Conducted the combat lifesaver program in accordance with AR 350-1,
paragraph 4-12 and subcourse IS0826.

2. Determine the number of personnel who need to be trained. Check local
unit personnel training records to determine the number of qualified combat
lifesavers and distribution of the CLs by squad. (See step 9, Ensure combat
lifesavers maintain proficiency.)

Note. There should be at least one combat lifesaver per squad, crew, or equivalent-size
unit.

Note. If there are too few soldiers to be trained, check other units in the
area about combining students for the course. There is the possibility you
may have too many students requiring more frequent classes until the required
number are trained.

Note. Recommend that all qualified combat lifesavers notify the combat lifesaver
coordinator as soon as a new assignment notification is received. This will
allow the coordinator to schedule training of replacement combat lifesavers.
A list could be generated by S-1 PAC that shows personnel PCS/ETS and CL status.

3. Contact the appropriate staff surgeon combat lifesaver program supervisor
at corps/division/brigades and separate brigade-size units. The coordination
should be accomplished prior to the start of training.

Note. A phone call, e-mail, or memorandum giving notification of intent to
conduct a course is normally sufficient. In real life the PAs at the Bn level
are aware of the training for local units and the Bn senior medical NCO will
probably run the course.

4. Identify and appoint a qualified Instructor and assistants as applicable.

a. Estimate the number of instructors/assistants required.

Note. The surgeon combat lifesaver supervisor or an experienced CL instructor
should be able to give you an idea of the student to teacher ratio. Also,
if you can obtain a copy of the lesson plans in IS0826, you can determine
the number of instructors and assistants required for each lesson.

b. If a qualified instructor is not available from the unit being trained,
request training instructor support from the next higher command surgeon
or local medical treatment facility.

Note. The primary instructor will be at least a senior medical NCO and either
hold primary 91W, 18D or be a licensed paramedic (state or national), registered
nurse, physician assistant, or physician. The instructor for the intravenous
infusion lesson must be an expert in administering IVs and qualified to handle
emergencies that could arise when students practice initiating IVs. (This
can be a senior 91W, 18D, LPN, EMT-1 or P, RN, PA or MD.) For the IV portion,
the student/instructor ratio needs to be two students per instructor.

(2) Provide the instructor and assistant instructors retirement year ending
date (RYE) if applicable Army National Guard (ARNG) and U.S. Army Reserve (USAR).

(3) The "student" address on DA Form 145 is the primary instructor's
address. All subcourse materials will be sent to the primary instructor.

(4) Attach a student roster (see table 081-831-1055-1) with the DA Form 145.
List the name, rank, social security number, and unit of each student. For
ARNG or USAR, include the retirement year ending (RYE) date.

The following students are to be enrolled in the Combat Lifesaver Course

SSN

Name

Component Code

Branch

Rank

111-11-1111

Ames, Adam A

10

SGT

222-22-2222

Baker, Bruce B

9

CPL

333-33-3333

Clay, Charles C

3

CPL

444-44-4444

Dough, David D

3

SGT

555-55-5555

Edwards, Earnest E

3

CPL

666-66-6666

Frost, Frank F

3

PFC

777-77-7777

Gains, Gary G

3

CPL

888-88-8888

Haines, Harold H

3

CPL

999-99-9999

Kelly, Keith K

3

CPL

111-22-3333

Locke, Larry L

3

CPL

444-55-6666

Manne, Morris M

3

SGT

777-88-9999

Nay, Ned N

3

SGT

111-00-1111

Peach, Paul P

3

CPL

222-23-4444

Ray, Ralph R

3

SSG

999-88-7777

Smith, Stanley S

2

QM

1LT

(5) Have the DA Form 145 signed by a responsible official who has the authority
to requisition or acquire the necessary medical equipment and supplies in support
of the training.

6. Obtain equipment and supplies.

a. Course equipment and supplies (see table 081-831-1055-2). Items such as
intravenous infusion (IV) trainers may need to be purchased. (Check with local
medical treatment facilities first.) You can also check with your local Training/Visual
Information Support Center (T/VISC) concerning these items.

Table 081-831-1055-2. Combat Lifesaver Program
Proposed List of Course Supplies for Six Students

The following items and quantities are required to train six combat lifesaver
students

#2 Lead pencils

1 box for written test and notes

Dressing, field

12

Cravat

12

Gloves, latex surgical/exam

12 pair, assorted sizes 7-8 ½

Chucks, or equivalent

12 (to absorb fluids and protect table surfaces)

Catheter, Intravenous

18 (21) 20 or 22 gauge; 18 gauge for practice

Container, sharps

1 (for needles)

Plastic trash bags

3 for non-medical waste

Bag, plastic, red HAZMAT

1 for bio waste

IV Moulage, arm strap-on

3 for IV practice

IV administration set

8

Band, elastic

6 (constricting band for IV administration)

Fluid, IV

8 normal saline, Ringer’s,
or D5W
(500 or 1000 ml)

Tape, ½ inch

1 roll

Tape, 1 inch

1 roll

Bandage, adhesive

1 box (Band-Aids)

Capsule, ammonia inhalant

5 (1 box)

Sponge, gauze, 2” x
2”

1 box (24s)

Sponge, gauze, 4” x
4”

1 box (24s)

Pad, povidone-iodine

1 box (24s)

Pad, alcohol

1 box (24s)

Oropharygeal Airway

3 (different sizes)

Splint, SAM

3

Splint, basewood

4

Training MARK I antidote kit and CANA

1 (obtained through Training and Audiovisual Support Center (TASC);
unit should request)

Combat lifesaver aid bag

1 complete for demonstration

Blanket, OD, wool

1 (for improvised litter task; a poncho may be used)

Poles, tent

2 (the poles are for the improvised litter)

Litter, folding; 3 straps

1 (a litter is desirable for a hands-on exercise)

Note. Include equipment for the buddy-aid tasks, IS0824, even though it may
not be taught in a group. The equipment will be used for the performance evaluation.

Note. Plan on enough materials to allow for practice and retests. Your instructor,
the staff surgeon combat lifesaver supervisor, or previous instructors of the
CL course may be able to give you an idea of how much extra to have on hand.

Note. The combat lifesaver program is a continuous ongoing program and requires
continuous equipment and material support for the already qualified CLs. Be
sure to maintain contact with your supply source to ensure your CL supplies
are programmed into the system.

(3) Request Class VIII support from the installation medical supply activity
(IMSA), normally the MSO of the medical department activity (MEDDAC) or U.S.
Army Medical Center (MEDCEN) if a nondivisional unit.

c. Resupply, during field operations, is accomplished in the same manner
as during garrison operations with two exceptions.

(2) Emergency resupply is provided to all units by the nearest medical unit
capable of doing so.

Note. Field medical units maintain stocks of medical material with which
to effect resupply of combat lifesaver aid bags during field operations.

7. Reserve facilities. The facilities should allow the students to clearly
see the demonstrations and provide plenty of room for student practice. Make
sure there are enough tables and chairs available for the number of students
participating.

8. Inform instructor, assistant instructors, and students:

a. Instructor and assistant instructors.

Note. If you are not the medical instructor, the arrangements and documentation
should be provided to the primary instructor.

(1) Provide a copy of CL memorandum with all attachments.

(2) Remind instructor and assistant instructors of target start date for
the class and location (such as building, room).

(4) Inform the primary instructor that all student and instructor materials
shipped from the Army Institute for Professional Development (AIPD) will
be sent to the instructor's address. The instructor is responsible to verify
the shipment is complete and to distribute the subcourses to the students.

(a) Distribute IS0824 at least two weeks before written and performance examinations.

(b) Distribute IS0825 at least two weeks before attending class.

Note. If classes on IS0825 immediately follow testing on IS0824, then distribute
both subcourses at the same time. If possible, provide soldiers a field dressing
and two muslin bandages at the time of distribution for practice. Do not
give the examination booklets or response sheets to the soldiers.

(5) Inform the course coordinator that the day-to-day administration and
conducting of the class is his responsibility once the course materials have
been received. (The course coordinator may or may not be the primary instructor.)

b. Inform the soldiers of their selection, start date and location.

9. Ensure combat lifesavers maintain proficiency.

a. Conduct annual (12 month) recertification.

(1) Determine the number of CLs requiring recertification by reviewing local
unit training records.

(2) Designate instructor(s). Unit instructors accomplish CL recertification.
If no instructors are in the unit, recommend coordinating recertification
with the primary instructor for the Combat Lifesaver Course.

(a) Obtain evaluations and lessons. Combat lifesaver recertification tasks
are designated in the IS0826 under "Recertification Testing." Use
designated CL performance tests and specified lessons available in IS0826;
they may be reproduced as needed. Only the most critical, life-saving tasks
are designated for recertification requirements.

(c) Reserve a training facility
(classroom) or area.(d) Schedule CLs for the recertification.(e)
Make an entry on the combat lifesaver's local training record indicating the
date he passed the recertification examination.

b. Ensure combat lifesavers are allowed to practice their skills to maintain
proficiency during home station training activities (to include FTXs) and
during deployment for training.

Evaluation Preparation:

Setup: None.

Brief Soldier: Tell the soldier that he will be asked to state the steps of
ensuring the unit combat lifesaver requirements are met.

Evaluation Guidance: Score the soldier GO if all performance measures are
passed. Score the soldier NO GO if any performance measure is failed. If the
soldier scores NO GO, show what was done wrong and how to do it correctly.